Individual
COURTNEY SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 SUMMERS ADDITION, MILTON, WV 25541-1530
(304) 654-6629
Mailing address
792 THOMPSON RD, CULLODEN, WV 25510-7251
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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